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确定让患者和家庭成员参与健康信息学计划的最佳方法:群体优先排序技术的案例研究

Identifying best approaches for engaging patients and family members in health informatics initiatives: a case study of the Group Priority Sort technique.

作者信息

Lo Brian, Zhang Timothy, Leung Kevin, Mehta Rohan, Kuziemsky Craig, Booth Richard G, Chyjek Anna, Rossetti Sarah Collins, McLean Drew, Borycki Elizabeth, McLay David, Noble Justin, Carter Shawn, Strudwick Gillian

机构信息

1Centre for Addiction and Mental Health, 1001 Queen Street West, Toronto, M6J 1H4 ON Canada.

2Institute of Health Policy, Management and Evaluation, University of Toronto, 155 College Street, Toronto, M5T 1P8 ON Canada.

出版信息

Res Involv Engagem. 2020 May 18;6:25. doi: 10.1186/s40900-020-00203-8. eCollection 2020.

Abstract

BACKGROUND

Patient engagement strategies in health service delivery have become more common in recent years. However, many healthcare organizations are challenged in identifying the best methods to engage patients in health information technology (IT) initiatives. Engaging with important stakeholders to identify effective opportunities can inform the development of a resource that addresses this issue and supports organizations in their endeavors. The purpose of this paper is to share our experience and lessons learned from applying a novel consensus-building technique in order to identify key elements for effective patient engagement in health IT initiatives. This will be done through a case study approach.

METHODS

Patients, family members of patients, health professionals, researchers, students, vendor representatives and individuals who work in health IT roles in health organizations were engaged through a one-day symposium in Toronto, Canada in September, 2018. During the symposium, the Group Priority Sort technique was used to obtain structured feedback from symposium attendees in the context of small group discussions. Descriptive statistics and a content analysis were undertaken to analyze the data collected through the Group Priority Sort as well as participant feedback following the symposium.

RESULTS

A total of 37 participants attended the symposium from a variety of settings and organizations. Using the Group Priority Sort technique, 30 topics were classified by priority to be included in a future resource. Participant feedback pertaining to the symposium and research methods was largely positive. Several areas of improvement, such as clarity of items, were identified from this case study.

CONCLUSIONS

The Group Priority Sort technique was an efficient method for obtaining valuable suggestions from a diverse group of stakeholders, including patients and family members. The specific priorities and feedback obtained from the symposium will be incorporated into a resource for healthcare organizations to aid them in engaging patients in health IT initiatives. Additionally, five important considerations were identified when conducting future work with the Group Priority Sort technique and are outlined in this paper.

摘要

背景

近年来,患者参与医疗服务提供的策略变得越来越普遍。然而,许多医疗机构在确定让患者参与健康信息技术(IT)计划的最佳方法方面面临挑战。与重要利益相关者合作以识别有效的机会,可以为开发解决此问题并支持组织努力的资源提供信息。本文的目的是分享我们在应用一种新颖的共识建立技术以确定患者有效参与健康IT计划的关键要素方面的经验和教训。这将通过案例研究的方法来完成。

方法

2018年9月在加拿大多伦多举行的为期一天的研讨会上,邀请了患者、患者家属、医疗专业人员、研究人员、学生、供应商代表以及在医疗机构中担任健康IT角色的人员。在研讨会上,使用了小组优先级排序技术,在小组讨论的背景下从研讨会参与者那里获得结构化反馈。对通过小组优先级排序收集的数据以及研讨会后的参与者反馈进行了描述性统计和内容分析。

结果

共有37名来自不同背景和组织的参与者参加了研讨会。使用小组优先级排序技术,30个主题按优先级分类,以便纳入未来的资源中。与研讨会和研究方法相关的参与者反馈总体上是积极的。从这个案例研究中确定了几个需要改进的方面,例如项目的清晰度。

结论

小组优先级排序技术是一种从包括患者和家属在内的不同利益相关者群体中获取有价值建议的有效方法。从研讨会上获得的具体优先级和反馈将纳入一个为医疗机构提供的资源中,以帮助他们让患者参与健康IT计划。此外,在未来使用小组优先级排序技术开展工作时确定了五个重要考虑因素,并在本文中进行了概述。

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